Most Relevant Information
Provider Data
NPI Number: | 1003424193 |
Provider Name: | VICTORIA ALEXANDRA ODELL |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 07/15/2020 |
Last Updated: | 07/15/2020 |
Provider Practice Location
4455 NE HIGHWAY 20
CORVALLIS
OR
973309695
Practice Location Phone/Fax
Phone: | 5417585900 |
Fax: |
Provider Mailing Location
3415 SE POWELL BLVD
PORTLAND
OR
972023371
Provider Mailing Phone/Fax
Phone: | 5032349591 |
Fax: |